Culturally integrated, language-concordant diabetes nutrition education improves dietary adherence for LEP Chinese American patients and is feasible within usual clinic services

Narrative synthesis #

The adherence benefit was demonstrated for one of two food-frequency measures (adapted Mediterranean diet score), and clinical outcomes (weight, HbA1c) did not reach significance in this small pilot. The feasibility argument rests on low added provider burden (a single Chinese-medicine practitioner coteaching) and high acceptability of the bilingual materials.

"INC shows promise as an integrative health care educational intervention that can be delivered alongside or as part of usual DSME in clinic settings with the additional expertise of a Chinese medicine practitioner." (Ho, 2020)